Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $229.73 / $229.73 / $238.74	Professional	QX	$229.73	$229.73	$238.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $495.50 / $495.50 / $495.50	Professional	QZ	$495.50	$495.50	$495.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $126.16 / $126.16 / $126.16	Professional	QX	$126.16	$126.16	$126.16
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $98.95 / $115.86 / $124.38	Professional	QZ	$98.95	$115.86	$124.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96